Individual
DAVID WAYNE KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4305 NEW SHEPHERDSVILLE RD, ANESTHESIA DEPARTMENT, BARDSTOWN, KY 40004-9019
(502) 350-5032
(502) 350-5022
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7818
(606) 533-0078
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
044668
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
3004974
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100007270 (KOHMG)
—
KY
Enumeration date
01/18/2006
Last updated
08/02/2019
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